Wall, Forrest P

Wall, Forrest P is an individual health care provider with primary practice located at 385 Bert Kouns Industrial Loop Ste 100 , Shreveport LA 71106-8159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Wall, Forrest P can be contacted via phone (318) 221-1629.

Contact Information

Primary practice address
385 Bert Kouns Industrial Loop Ste 100 Shreveport LA 71106-8159
Phone: (318) 221-1629
Fax: (318) 221-6308
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 10089R Louisiana

Profile Details

NPI number 1699758474
LBN Legal business name Wall, Forrest P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Jul 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers